Organization
AUGUSTA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JOHNSON (COO)
(316) 775-9191
Entity
Organization
Contact information
Practice address
1306 STATE ST, AUGUSTA, KS 67010-1126
(316) 775-9191
(316) 775-0348
Mailing address
1306 STATE ST, AUGUSTA, KS 67010-1126
(316) 775-9191
(316) 775-0348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5376107
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359330A
—
KS
05
—
100359330B
—
KS
Enumeration date
12/11/2014
Last updated
12/11/2014
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